1979, 11-19 Permit: 79-8074 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS -t HARD TO MAKE 4 COPIES
t_
JOB ADDRESS
1.
LOT L 1P'O )9 L. atr
2.
B OCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
OWNER
/N.., pera
ADDRESS
PHO E
ZIP
Required Set Backs in Feet
North (South East 'West
CONT
CT
OR
4' 1•v�
-
ADE55Rog_•)
DESIGNER
5' ADDRESS
PHONE
Size of Parcel 1 Zone Classification
Z
gaol
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation 1 Building Area In Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE 0 NEW
7. OF
WORK 0 BLO.
❑ ALT. (AD N. 0 RPL. 0 MVE.
AA--,,
0 OTHER
❑ PLMB__ IXJCMECH: 0 M.H. 0 POOL
DESCRIBE W•
8.
VALUATION
9.
Source
of
Utilities
ELECTRIC
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE -
of EXEMPTION
SEWER
Req'd.
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions Included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other s to or local law regulating construction or the
performance of construction.
nn,pt /,,,I�/mss f
DATE /I-15-1 `� SIGNATURE 4/711 "!%.f_ J
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIA
DITIONS:
DATE 0FFICIA44q C/
APPROVED FOR ISSUANCE
Re 'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. 'd0
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
79-8D7'9
DATE Jf is—'79
04* *9.00
*9.00 N
*9.00,1
E *000 8
807,32
11-19:-79
a 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-0,7:74
•
80.7:45 49,0,.0.
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